Doctor of Philosophy Program in Medical Physics and Medical Engineering (International Program) : PSCM

Application Form for Admission to the Doctor of Philosophy Program in Medical Physics and Medical Engineering (International Program)

Required Fields

Information for using the system

Password

Lowercase and uppercase English letters and numbers
Length must be at least 8 characters

Confirm Password

Personal information

Card type

Thai Identification Card Number
Passport Number

Card number

Issued by

Expiration date

Title

Mr. Ms. Mrs.

Name - Surname

Date of birth

Nationality

Country of residence

Home address

Mobile phone number

Education

Degree (BSc, MSc, etc.)

Major

Institution

Country

Year of graduation

GPA

GPA in the 4.0 scale

Degree (BSc, MSc, etc.)

Major

Institution

Country

Year of graduation

GPA

GPA in the 4.0 scale

* If the GPA is not in the 4.0 scale, please provide reliable evidence for the GPA conversion as an application attachment.

Work Experience(s)

Do you have work experience?

Yes No

Please provide information of the last three companies/organizations you have worked for.

1. Company/organization’s name

Address

Telephone number

Position

Detail of work

Date of work experience from

2. Company/organization’s name

Address

Telephone number

Position

Detail of work

Date of work experience from

3. Company/organization’s name

Address

Telephone number

Position

Detail of work

Date of work experience from

List of publications (journal publication, conference proceedings, books, book chapters, etc.). Please use the Vancouver referencing style and provide DOI or web links of the publication if available.

Reference persons (Advisors or supervisors from your universities or companies/organizations)

1. Title

Mr. Ms. Mrs. Dr. Prof

Name - Surname

Company/organization’s name

Address

Telephone number

Current position

Relation to the applicant

2. Title

Mr. Ms. Mrs. Dr. Prof

Name - Surname

Company/organization’s name

Address

Telephone number

Current position

Relation to the applicant

Note: Recommendation letters from the abovementioned reference persons must be signed and submitted by the reference persons directly to [email protected] no later than the end of the application period.

Financial support for the PhD study

Check the following boxes (✓) to complete the application

I confirm that I have completed the online psychological test at https://forms.office.com/r/QNGYW6UKXX.
I would like to apply for Scholarship for Doctor of Philosophy Program in Medical Physics and Medical Engineering (International Program) (For the Project “Development of Research and Development Talents in Medical Physics and Medical Engineering”, Academic Years 2025 – 2029).

I confirm that I have read the criteria and conditions for receiving the scholarship. Notification on Criteria and Conditions for Scholarship.pdf
I confirm that for my study at the PhD program in Medical Physics and Medical Engineering, Princess Srisavangavadhana College of Medicine, Chulabhorn Royal Academy, I have not received, am not receiving, or will not receive any other scholarships.

I hereby declare that the information provided above is true.

Contact

Tel : 02-576-6600 Ext. 4183 (Thidarat Panitchagul)

Email : [email protected]

Website : Doctor of Philosophy Program in Medical Physics and Medical Engineering (International Program)

Facebook : Medical Physics and Medical Engineering - International Program

Linkedin : MPME.PSCM

Location

Princess Srisavangavadhana College of Medicine, Chulabhorn Royal Academy

906 Kampangpetch 6 Rd., Talat Bang Khen, Lak Si, Bangkok 10210 Thailand

For staff